9200106.pdf

STATE OF MICHIGAN

ENTERPRISE PROCUREMENT

Department of Technology, Management, and Budget 320 S. Walnut Street 2nd Floor Lansing, MI 48933

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

CONTRACT SUMMARY

Emresource ASP Service

INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

January 16, 2009 December 31, 2011 14 - 12 Months May 31, 2025

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

MINIMUM DELIVERY REQUIREMENTS

P-Card Direct Voucher (PRC) Other Yes No

235 Peachtree Street Suite 2300

Atlanta GA 30303

JOSEPH KRIEG

706-564-1487 joseph.krieg@juvare.com

CV0063177

EMSYSTEMS LLC

C O

N

TR

A C

TO

R

Robin Lampert

(517) 582-2746

DTMB

Various Various

LampertR1@michigan.gov

C ontract

A dm inistrator Program M anagerSTA

TE

Change Notice Number 21

Contract Number MA071B9200106C to

DESCRIPTION OF CHANGE NOTICE

OPTION EXTENSIONLENGTH OF OPTION LENGTH OF EXTENSION REVISED EXP. DATE

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

36 Months May 31, 2028

$13,611,867.56 $0.00 $13,611,867.56

DESCRIPTION

Effective May 16, 2025, the State is exercising the 7th, 8th, and 9th option years. Previously approved funds will be used to provide continued maintenance and support services, add an interface and background checks per the attached Statement of Work. The revised contract expiration date is May 31, 2028.

All other terms, conditions, specifications and pricing remain the same. Per contractor and agency agreement, and DTMB Central Procurement Services approval.

AGENCY NAME PHONE EMAIL

MDHHS Amber Pitts 517-335-9572 pittsa@michigan.gov

DTMB Duane Kerkstra 248-660-0132 kerkstrad@michigan.gov

Program Managers for

Multi-Agency and Statewide Contracts

CHANGE NOTICE NO. 21 TO CONTRACT NO. MA071B9200106C

Michigan.gov/MiProcurement

Version 2021-1 1 of 3

STATEMENT OF WORK -

IT CHANGE NOTICE

Project Title:

EMSystems, LLC (Juvare)

Period of Coverage:

6/1/2025 – 5/31/2028

Requesting Department:

Department of Health, and Human Services

Date:

3/24/2025

Agency Program Manager:

Amber Pitts

Phone:

(517) 335-9572

DTMB Program Manager:

Duane Kerkstra

Phone:

(248) 660-0132

Brief description of services to be provided: Exercise three (3) 1-year options to extend existing services and purchase Background Checks

BACKGROUND:

Contract 071B9200106 for the State of Michigan (State), Michigan Department of Health and Human Services (DHHS), Bureau of EMS, Trauma, and Preparedness (BETP), through the Michigan Department of Technology, Management & Budget (DTMB) was established as Software as a Service (SaaS) to support the functions of the Michigan Health Alert Network (MIHAN), the MI Volunteer Registry, bed/resource tracking, patient tracking, and hospital incident management services used with an internet-accessible, vendor-hosted service.

PROJECT OBJECTIVE:

• Exercise Contract Option Years 7,8 and 9 to extend the term of the Contract through 5/31/2028 for:

o Continued Maintenance and Support services as described within Change Notice (CN) 12 and as amended with CN19 and 20.

Recognize the ongoing Maintenance and Support services for the

API function of the EMResource Interface as implemented with CN16 and the MI Background Check Module as implemented with

CN18.

o Procure a fixed number of Background checks.

SCOPE OF WORK:

The Contractor must provide services as outlined in Change Notice 12 for the ongoing maintenance and technical support, hosting and product renewal subscriptions as follows:

Version 2021-1 2 of 3

• Extend the service term for 6/1/2025 through 5/31/2028 to include those Product Codes and Item Descriptions listed within the table for Software Support – 5 Additional Option Years as executed under CN 12.

o Contract Option Years 7,8 and 9 are referenced on this table as the Ext.

Price Year 2,3 and 4.

o CN20 removed the following Product Codes and Item Descriptions and associated annual cost:

SW-SaaS-elCS-ST elCS SaaS Region/Statewide Subscription for

$113,372.07 SW-SaaS-elCS-Telcom elCS Telecommunications Phone Minutes that was to be billed at actual Usage.

o Include the same level of support services and subscription for the

EMResource Interface/API with the period of 4/19/2025 through 5/31/2028 o Include the same level of support services and subscription for the

Background Check Module add-on subscription from 10/1/2025 through 5/31/2028

The Contractor must make available a quantity of 450 CORES RMS Background Check

– Standard as one-time bulk purchase

PAYMENT SCHEDULE:

Service Purchased

Option Year 7 (Through 5/31/2026)

Option Year 8 (Through 5/31/2027)

Option Year 9 (Through 5/31/2028)

Maintenance & Technical Support and Hosting

$629,315.99 $629,315.99 $629,315.99

EM Resource/API Support

$21,666.67 $20,000.00 $20,000.00

Background Check Module

N/A $8,806.50 $5,283.90

450 Background Checks @34.50

Per Check

$15,525.00 N/A N/A

Total $666,507.66 $658,122.49 $654,599.89

Total SOW Value $1,979,230.04

Payment of 450 Background Checks will be invoiced one-time upon execution of this Statement of Work as a contract change notice and the issuance of a DOIT1.

Version 2021-1 3 of 3

Payment of services will be made on a one-time firm fixed cost at the beginning of each contract year. DTMB will pay Contractor upon receipt of properly completed invoice(s) which shall be submitted to the billing address on the State issued purchase order not more often than monthly. DTMB Accounts Payable area will coordinate obtaining Agency and DTMB Project Manager approvals.

All invoices must reflect actual work completed by payment date and must be approved by the Agency and DTMB Project Manager prior to payment. The invoices shall describe and document to the State’s satisfaction a description of the work performed, the progress of the project, and fees. All invoices must be submitted to dtmb-accounts-payable@michigan.gov.

Payment shall be considered timely if made by DTMB within forty-five (45) days after receipt of properly completed invoices.

PROJECT CONTACTS:

The designated Agency Program Manager is:

Amber Pitts Michigan Department of Health, and Human Services PO Box 30207 Lansing, MI 48909

(517) 335-9572 PittsA@michigan.gov

Designated DTMB Program Manager is:

Duane Kerkstra Michigan Department of Technology, Management and Budget Agency Services Grand Tower 235 S. Grand Ave.

Lansing, MI 48933

(248) 660-0132 KerkstraD@michigan.gov mailto:PittsA@michigan.govThe mailto:KerkstraD@michigan.gov

ENTERPRISE PROCUREMENT

Department of Technology, Management, and Budget 320 S. Walnut Street 2nd Floor Lansing, MI 48933

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

CONTRACT SUMMARY

Emresource ASP Service

INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

January 16, 2009 December 31, 2011 14 - 12 Months May 31, 2025

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

MINIMUM DELIVERY REQUIREMENTS

P-Card Direct Voucher (PRC) Other Yes No

235 Peachtree Street Suite 2300

Atlanta GA 30303

Ann Marie Brown

336-689-5060 annmarie.brown@juvare.com

CV0063177

EMSYSTEMS LLC

C O

N

TR

A C

TO

R

Robin Lampert

517-582-2746

DTMB

Various Various

LampertR1@michigan.gov

C ontract

A dm inistrator Program M anagerSTA

TE

Change Notice Number 20

Contract Number MA071B9200106C to

DESCRIPTION OF CHANGE NOTICE

OPTION EXTENSIONLENGTH OF OPTION LENGTH OF EXTENSION REVISED EXP. DATE

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$13,643,006.56 $12,561.00 $13,655,567.56

DESCRIPTION

Effective September 30, 2024, the following items and their associated costs (listed in Change Notice 12) are removed from this Contract.

* SW-SaaSelCS-ST elCS SaaS Region/ Statewide Subscription

* SW-SaaSelCSTelcomelCS Telecommunications Phone Minutes

The professional service hours are clarified per attached Statement of Work with additional $12,561 funds.

(Per Statement of Work, $23,700, minus $11,139 credit.)

Please note the Contract Administrator has been changed to Robin Lampert.

All other terms, conditions, specifications and pricing remain the same. Per contractor and agency agreement, and DTMB Central Procurement Services approval.

MDHHS Amber Pitts 517-335-9572 pittsa@michigan.gov

DTMB Duane Kerkstra 248-660-0132 kerkstrad@michigan.gov

Program Managers for

CHANGE NOTICE NO. 20 TO CONTRACT NO. MA071B9200106C

Version 2021-1 1 of 2

STATEMENT OF WORK -

IT CHANGE NOTICE

Project Title:

EMSystems, LLC (Juvare)

Period of Coverage:

6/1/2024 - 5/31/2025

Requesting Department:

Department of Health, and Human Services

Date:

09/24/24

Agency Program Manager:

Amber Pitts

Phone:

(517) 335-9572

DTMB Program Manager:

Duane Kerkstra

Phone:

(248) 660-0132

Brief description of services to be provided:

BACKGROUND:

Contract 071B9200106 for the State of Michigan (State), Michigan Department of Health and Human Services (DHHS), Bureau of EMS, Trauma, and Preparedness (BEPESOC), through the Michigan Department of Technology, Management & Budget (DTMB), was extended. This Contract was established for the functions of the Michigan Health Alert Network (MIHAN), the MI Volunteer Registry, bed/resource tracking, patient tracking, and hospital incident management services used with an internet-accessible, vendor-hosted service. All terms, conditions, specifications, and pricing remain as stated in the Contract.

PROJECT OBJECTIVE:

Amend Contract Change Notice 19 Scope for Professional Services

SCOPE OF WORK:

CN19 Scope of work is amended to:

The statement “The remaining 47 hours from Year 5 have not been fully utilized.

These hours will be credited in the amount of $11,139 towards SPC for Year 6.” is hereby replaced in its entirety with:

The remaining 47 hours from CN16 have not been fully utilized. These hours will be carried forward to combine with the CN19 Professional Services 100 hours, for a cumulative total of 147 available for the State to plan and direct vendor work. Any of the 147 hours not used will carry forward with any extension to the Contract.

Version 2021-1 2 of 2

PAYMENT SCHEDULE:

The full one-time firm fixed cost for Professional Services will be paid upon proper invoicing:

Fiscal Year Total Cost Professional Services $23,700.00

The designated DTMB Contract Administrator:

Robin Lampert Michigan Department of Technology, Management and Budget Central Procurement Services Elliott – Larsen Building 320 S. Walnut Lansing, MI 48820

(517) 215-282-2746 lampertr1@michigan.gov mailto:lampertr1@michigan.gov

CENTRAL PROCUREMENT SERVICES

Department of Technology, Management, and Budget

320 S. WALNUT ST., LANSING, MICHIGAN 48933

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 19 to

Contract Number 071B9200106

Various

Mecca Martin annmarie.brown@juvare.com

Ann Marie Brown

Atlanta, GA 30303

EMSYSTEMS LLC

CV0063177

336-689-5060

235 Peachtree Street , Suite 2300

(517) 230-5694

S T

A T

E

P ro g ra m

M a n a g e r

C o n tra c t

A d m in istra to r

C O

N T R A

C T O

R

DTMB

martinm42@michigan.gov

$13,599,306.56

January 16, 2009 May 31, 2024

EMRESOURCE ASP SERVICE

December 31, 2011

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

14 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

NET45

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☒ ☐ May 31, 2025

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$43,700.00 $13,643,006.56

Effective 6/1/2024, this contract is increased by $43,700.00; and leverages $742,688.06 of existing funds from CN 12 for

Option Year 6. There are 4 remaining option years through 5/31/2029. The following amendment is incorporated into this

Contract per the attached Statement of Work to Generate a new annual purchase order (PO) for continued Maintenance and Operations (M&O) costs, EMResource Interface/API – annual subscription, and Professional Services – Service

Credit Plan.

Please note the DTMB Program Manager has been changed to Duane Kerkstra. The Contractor Contract Admin. has been changed to Ann Marie Brown.

All other terms, conditions, specifications and pricing remain the same. Per contractor and agency agreement, and

DTMB Central Procurement Services approval.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

DESCRIPTION

CONTRACT SUMMARY

MDHHS

Program Managers for

CHANGE NOTICE NO. 19 TO CONTRACT NO. 071B9200106

Amber Pitts 517-335-9572 pittsa@michigan.govMDHHS

Duane Kerkstra 248-660-0132 kerkstrad@michigan.govDTMB

Version 2021-1 1 of 4

STATEMENT OF WORK -

IT CHANGE NOTICE

Project Title:

EMSystems, LLC (Juvare)

Period of Coverage:

6/1/2024 - 5/31/2025

Requesting Department:

Department of Health, and Human Services

Date:

5/20/2024

Agency Project Manager:

Amber Pitts

Phone:

(517) 335-9572

DTMB Project Manager:

Duane Kerkstra

Phone:

(248) 660-0132

Brief description of services to be provided:

BACKGROUND:

Contract 071B9200106 for the State of Michigan (State), Michigan Department of Health and Human Services (DHHS), Bureau of EMS, Trauma, and Preparedness (BEPESOC), through the Michigan Department of Technology, Management & Budget (DTMB), was extended. This Contract was established for the functions of the Michigan Health Alert Network (MIHAN), the MI Volunteer Registry, bed/resource tracking, patient tracking, and hospital incident management services used with an internet-accessible, vendor-hosted service. All terms, conditions, specifications, and pricing remain as stated in the Contract.

PROJECT OBJECTIVE:

Exercise Option Year 6 per Change Notice 12 to extend the term of the Contract through 5/31/2025.

Maintenance and Operations (M&O) costs for the period of 6/1/2024 through 5/31/2025

EMResource Interface/API – annual subscription for the period of April 19, 2024 through April 18, 2025

Professional Services – Service Credit Plan – 100 hours SCP – Service Credit Plan – 100 hours – EMResource API

SCOPE OF WORK:

The SOW will cover Year 6 as outlined in Change Notice 12 in the Master Agreement for Ongoing M&O. Ongoing M&O support and EMResource Interface/API subscription and support as outlined in the Master Agreement.

Version 2021-1 2 of 4

Professional Services – Service Credit Plan (SCP): The Contractor must provide up to 100 hours for support that may include but are not limited to minor enhancements to the systems, developing and delivering reports ad hoc or otherwise, training etc. Work must be directed and approved by the Agency Project Manager. Work that is completed without prior Agency Project Manager approval shall not be applied against the SCP.

By the 5th day of each month, the Contractor must provide the Agency and DTMB Project Manager a detailed report of all work done for the prior month period. The report must minimally include the task(s), the resource role(s), the hours that were worked, and a task(s) description and the aggregate total of hours used and the remaining available hours for the term of this Contract.

The remaining 47 hours from Year 5 have not been fully utilized. These hours will be credited in the amount of $11,139 towards SPC for Year 6.

PAYMENT SCHEDULE:

Fiscal Year Total Cost

M&O

(6/1/2024 – 5/31/2025)

$742,688.06

EMResource Interface/API

(4/19/2024 – 4/18/2025)

$20,000.00

Professional Services – EMResource API $23,700.00

Total SOW Value: $786,388.06

SPECIFIC DEPARTMENT STANDARDS:

Agency standards, if any, in addition to DTMB standards.

PAYMENT SCHEDULE:

Payment will be made on a one-time firmed fixed cost at the beginning of the SOW term.

DTMB will pay the Vendor upon receipt of properly completed invoice(s) which shall be submitted to the billing address on the State issued purchase order. DTMB Accounts Payable area will coordinate obtaining Agency and DTMB Project Manager approvals. All invoices should reflect actual work completed by payment date and must be approved by

Version 2021-1 3 of 4 the Agency and DTMB Project Manager prior to payment. The invoices shall describe and document to the State’s satisfaction a description of the work performed, the progress of the project, and fees.

The invoices must document to the State’s satisfaction.

• Project name

• Category of work performed (Maintenance and Operations, Interface and/or Professional Services

• A description of the work,

• The issued purchase order number,

• An invoice number,

• The invoice date, and

• The amount to be paid.

Payment shall be considered timely if made by DTMB within forty-five (45) days after receipt of properly completed invoices.

Please note that the invoice must be submitted to dtmb-accounts-payable@michigan.gov.

EXPENSES:

The State will NOT pay for any travel expenses, including hotel, mileage, meals, parking, etc.

PROJECT CONTACTS:

The designated Agency Project Manager is:

Amber Pitts Michigan Department of Health, and Human Services PO Box 30207 Lansing, MI 48909

(517) 335-9572 PittsA@michigan.gov

The designated DTMB Project Manager is:

Duane Kerkstra Michigan Department of Technology, Management and Budget Agency Services

Grand Tower 235 S. Grand Ave.

Lansing, MI 48933

(248) 660-0132 KerkstraD@michigan.gov mailto:dtmb-accounts-payable@michigan.gov mailto:PittsA@michigan.gov mailto:KerkstraD@michigan.gov

Version 2021-1 4 of 4

The designated DTMB Contract Administrator:

Mecca Martin Michigan Department of Technology, Management and Budget Central Procurement Services Elliott – Larsen Building 320 S. Walnut Lansing, MI 48820

(517) 230-5694 MartinM42@michigan.gov mailto:MartinM42@michigan.gov

Department of Technology, Management, and Budget

320 S. WALNUT ST., LANSING, MICHIGAN 48933

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 18 to

Contract Number 071B9200106

Various

Mecca Martin joseph.krieg@juvare.com

JOSEPH KRIEG

Atlanta, GA 30303

EMSYSTEMS LLC

CV0063177

706-564-1487

235 Peachtree Street , Suite 2300

(517) 230-5694 S

T A

T E

P ro g n a g e r

C o n tra ct

A d m in istra to r

C O

N T R A C T O

R

DTMB

martinm42@michigan.gov

$13,561,867.66

January 16, 2009 May 31, 2024

EMRESOURCE ASP SERVICE

December 31, 2011

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

14 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

NET45

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☐ May 31, 2024

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$37,438.90 $13,599,306.56

Effective 10/23/2023, this Contract is increased by $37,438.90 for MDHHS use.

The following amendment is incorporated into this Contract per the attached Statement of Work to implement a national background check module in the Michigan Volunteer Registry (MVR) platform to ensure all volunteers accepted and deployed by the State of Michigan are free from felony convictions.

All other terms, conditions, specifications and pricing remain the same. Per contractor and agency agreement, and DTMB Central Procurement Services approval.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

DESCRIPTION

Program Managers for

CHANGE NOTICE NO. 18 TO CONTRACT NO. 071B9200106

Soopriya Razdan 517-219-2766 RazdanS@michigan.govDTMB

STATEMENT OF WORK -

IT CHANGE NOTICE

Project Title:

Juvare - MI Background Check Module

Period of Coverage:

10/1/2023-9/30/2025

Requesting Department:

Department of Health and Human Services

Date:

10/3/2023

Agency Project Manager:

Stephanie Steele

Phone:

(517) 282-3789

DTMB Project Manager:

Tom McIntire

Phone:

(517) 241-9149

BACKGROUND:

Contract 071B9200106 for the State of Michigan, Department of Health and Human Services (DHHS), was established for the functions of the Michigan Health Alert Network (MIHAN), the Michigan Volunteer Registry, bed/resource tracking, patient tracking, and hospital incident management services used with an internet accessible, vendor-hosted service.

PROJECT OBJECTIVE:

EMSystems (Juvare) will implement a national background check module in the Michigan Volunteer Registry (MVR) platform to ensure all volunteers accepted and deployed by the State of Michigan are free from felony convictions. This module will require volunteers to submit their social security number into the MVR online application and be stored and protected by Juvare.

SCOPE OF WORK:

EMSystems (Juvare) will implement a national background check module in the MVR platform.

DESCRIPTION SALES PRICE QTY TOTAL PRICE

CORES RMS Automated Background Check Module Year 1 Automated Background Check add-on subscription

$5,130.00 1.00 $5,130.00

Professional Services – Implementation Implementation services for setup, configuration, and training.

$14,950.00 1.00 $14,950.00

CORES RMS Background Check – Standard Background checks are $34.50 per submitted background check. They may be pre-purchased in bulk or billed as incurred.

350 Checks have been quoted here for budgeting purposes.

$34.50 1.00 $12,075.00

Year 1 Total: $32,155.00

DESCRIPTION SALES PRICE QTY TOTAL PRICE

CORES RMS Automated Background Check Module Year 2 Automated Background Check add-on subscription

$5,283.90 1.00 $5,283.90

Year 2 Total: $5,283.90

ACCEPTANCE CRITERIA:

All Written Deliverables and Custom Software Deliverables (Deliverables) require formal written approval from the DTMB and MDHHS Project Managers in accordance with Section 2.250 of the Contract.

SPECIFIC DEPARTMENT STANDARDS:

Agency standards, if any, in addition to DTMB standards.

PAYMENT SCHEDULE:

Payment will be made on an annual basis. DTMB will pay CONTRACTOR upon receipt of properly completed invoice(s) which shall be submitted to the billing address on the State issued purchase order not more often than monthly. DTMB Accounts Payable area will coordinate obtaining Agency and DTMB Project Manager approvals. All invoices should reflect work completed by the payment date and must be approved by the Agency and DTMB Project Manager before payment. The invoices shall describe and document to the State’s satisfaction a description of the work performed the progress of the project, and fees. When expenses are invoiced, receipts will need to be provided along with a detailed breakdown of each type of expense. • A description of the work performed, • The amount to be paid, • An invoice number, • A timeframe when the work was performed, • Satisfactory acceptance of each deliverable, • All invoices must include the purchase order number. Payment shall be considered timely if made by DTMB within forty-five (45) days after receipt of properly completed invoices.

EXPENSES:

The State will NOT pay for any travel expenses, including hotel, mileage, meals, parking, etc.

PROJECT CONTACTS:

The designated Agency Project Manager is:

Stephanie Steele Department of Health and Human Services 1001 Terminal Rd Lansing, MI 48906

(517) 282-3789 Steeles7@michigan.gov

The designated DTMB Project Manager is:

Tom McIntire Department of Technology, Management, and Budget Agency Services 9th Floor 235 S. Grand Avenue Lansing, MI 48933

(517) 241-9149 Mcintiret1@michigan.gov

Department of Technology, Management, and Budget

320 S. WALNUT ST., LANSING, MICHIGAN 48933

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 17 to

Contract Number 071B9200106

Various

Mecca Martin joseph.krieg@juvare.com

Joseph Krieg

Atlanta, GA 30303

EMSYSTEMS LLC

CV0063177

706-564-1487

235 Peachtree Street , Suite 2300

(517) 230-5694 S

T A

T E

P ro g n a g e r

C o n tra ct

A d m in istra to r

C O

N T R A C T O

R

DTMB

martinm42@michigan.gov

$13,561,867.66

January 16, 2009 May 31, 2024

EMRESOURCE ASP SERVICE

December 31, 2011

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

14 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

NET45

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☒ ☐ May 31, 2024

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$0.00 $13,561,867.66

Effective 6/1/2023, this contract leverages $742,688.06 of existing funds from CN 12 for Year 5.

The following amendment is hereby incorporated into the contract per the attached statement of work. This change includes the generation of a new annual purchase order (PO) to allow for payment of Maintenance and Operations (M & O) costs for the period of 06/01/2023 - 5/31/2024. The DTMB. There are 5 remaining option years through 5/31/2029.

Please note the Contractor Contract Administrator has been changed to Joseph Krieg.

All other terms, conditions, specifications, and pricing remain the same. Per contractor and agency agreement, and Central Procurement approval.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

DESCRIPTION

Program Managers for

CHANGE NOTICE NO. 17 TO CONTRACT NO. 071B9200106

STATEMENT OF WORK -

IT CHANGE NOTICE

Project Title:

EMSystems, LLC (Juvare)

Period of Coverage:

6/1/2023 – 5/31/2024

Requesting Department:

Department of Health, and Human Services

Date:

5/16/2023

Agency Project Manager:

Amber Pitts

Phone:

(517) 335-9572

DTMB Project Manager:

Soopriya Razdan

Phone:

(517) 219-2766

Brief description of services to be provided:

BACKGROUND:

Contract 071B9200106 for the State of Michigan (State), Michigan Department of Health and Human Services (DHHS), Bureau of EMS, Trauma, and Preparedness (BEPESOC), through the Michigan Department of Technology, Management & Budget (DTMB), was extended. The expiration date of the contract is 05/31/2024. This Contract was established for the functions of the Michigan Health Alert Network (MIHAN), the MI Volunteer Registry, bed/resource tracking, patient tracking, and hospital incident management services used with an internet-accessible, vendor-hosted service.

PROJECT OBJECTIVE:

Generate a new annual purchase order (PO) to allow for payment of Maintenance and Operations (M&O) costs for the period of 6/1/2023 - 5/31/2024.

The amount of the PO shall be $746,688.06.

All terms, conditions, specifications, and pricing remain as stated in the Contract.

SCOPE OF WORK:

The PO will cover Year 5 as outlined in Master Agreement.

Payment Schedule:

FY23 $746,688.06

Total Amount $746,688.06

SPECIFIC DEPARTMENT STANDARDS:

Agency standards, if any, in addition to DTMB standards.

• Payment will be made on an annual basis. DTMB will pay CONTRACTOR upon receipt of properly completed invoice(s) which shall be submitted to the billing address on the State issued purchase order not more often than monthly. DTMB Accounts Payable area will coordinate obtaining Agency and DTMB Project Manager approvals. All invoices should reflect work completed by the payment date and must be approved by the Agency and DTMB Project Manager before payment. The invoices shall describe and document to the State’s satisfaction a description of the work performed the progress of the project, and fees. When expenses are invoiced, receipts will need to be provided along with a detailed breakdown of each type of expense.

• A description of the work performed,

• The amount to be paid,

• An invoice number,

• A timeframe when the work was performed,

• Satisfactory acceptance of each deliverable,

• All invoices must include the purchase order number.

Payment shall be considered timely if made by DTMB within forty-five (45) days after receipt of properly completed invoices.

EXPENSES:

The State will NOT pay for any travel expenses, including hotel, mileage, meals, parking, etc.

PROJECT CONTACTS:

The designated Agency Project Manager is:

Amber Pitts Department of Health, and Human Services PO Box 30207 Lansing, MI 48909

(517) 335-9572 PittsA@michigan.gov

The designated DTMB Project Manager is:

Soopriya Razdan Department of Technology, Management and Budget Agency Services mailto:PittsA@michigan.gov

Grand Tower, 9th Floor 235 S. Grand Ave.

Lansing, MI 48933

(517) 219-2766 RazdanS@michigan.gov

The designated DTMB Contract Administrator is:

Mecca Martin Department of Technology, Management and Budget Central Procurement Services Elliott – Larsen Building 320 S. Walnut Lansing, MI 48820

(517) 230-5694 MartinM42@michigan.gov mailto:RazdanS@michigan.gov mailto:MartinM42@michigan.gov

Department of Technology, Management, and Budget

525 W. ALLEGAN ST., LANSING, MICHIGAN 48913

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 16 to

071B9200106Contract Number

Various

Mecca Martin max.wippich@juvare.com

Max Wippich

Atlanta, GA 30303

EMSYSTEMS LLC

CV0063177

414-721-9729

235 Peachtree Street , Suite 2300

(517) 230-5694 S

T A

T E

P ro g n a g e r

C o n tra ct

A d m in istra to r

C O

N T R A C T O

R

DTMB

martinm42@michigan.gov

$13,401,867.66

January 16, 2009 May 31, 2024

EMRESOURCE USER AGREEMENT

December 31, 2011

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

14 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

NET45

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☐ May 31, 2024

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$160,000.00 $13,561,867.66

Effective 4/12/2022, this Contract is hereby increased by $160,000.00.

The following amendment is hereby incorporated into the contract per the attached Statement of Work to create an API function in the EMResource system, a service used by DHHS to track resources in hospitals and long-term care facilities for day-to-day tracking and emergence response data collection including during the current COVID-19 activities.

All other terms, conditions, specifications, and pricing remain the same. Per (DTMB) contractor (request/proposal) and agency (request) agreement, DTMB Procurement approval, and State Administrative Board approval on 4/12/2022.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

DESCRIPTION

Program Managers for

CHANGE NOTICE NO. 16 TO CONTRACT NO. 071B9200106

STATEMENT OF WORK -

IT CHANGE NOTICE

Project Title:

EMResource API and Data Uploader

Period of Coverage:

1/17/2022-9/30/2023

Requesting Department:

MDHHS

Date:

2/22/2022

Agency Project Manager:

Amber Pitts

Phone:

517-335-9572

DTMB Project Manager:

Douglas Alcott

Phone:

517-335-1648

Brief description of services to be provided:

BACKGROUND:

Contract 071B9200106 for the State of Michigan (State), Michigan Department of Health and Human Services (DHHS), Bureau of EMS, Trauma, and Preparedness (BETP), through the Michigan Department of Technology, Management & Budget (DTMB), was extended. The expiration date of the contract is 05/31/2024. This Contract was established for the functions of the Michigan Health Alert Network (MIHAN), the MI Volunteer Registry, bed/resource tracking, patient tracking, and hospital incident management services used with an internet accessible, vendor-hosted service.

PROJECT OBJECTIVE:

EMSystems will provide the Client with services to build and implement an API interface to the EMSystems EMResource Software application that supports the ability to receive and process data sent from the Client’s data warehouse or other electronic health records (“EHR") platform(s) for the purpose of automating the capture and storage of specified data elements in the EMResource Software application.

SCOPE OF WORK:

EMSystems will provide Professional Services to support the implementation of the Inbound API and Automated Data Uploader.

DELIVERABLES:

Deliverables will not be considered complete until the Agency Project Manager has formally accepted them.

Deliverables for this project include:

The following deliverable(s) are required as part of this SOW:

a) EMResource API Interface

b) Automated Data Uploader

c) Professional Services to assist Client’s members with implementation, as included in the scope of this agreement

ACCEPTANCE CRITERIA:

All Written Deliverables and Custom Software Deliverables (Deliverables) require formal written approval by the DTMB and MDHHS Project Managers in accordance with Section 2.250 of the Contract.

PROJECT CONTROL AND REPORTS:

A bi-weekly progress report must be submitted to the Agency and DTMB Project Managers throughout the life of this project. This report may be submitted with the billing invoice.

PROJECT CONTACTS:

The designated Agency Project Manager is:

Amber Pitts Department of Health and Human Services Bureau of EMS, Trauma, and Preparedness (BETP PO Box 30207 Lansing, MI 48909-0207 517-335-9572 pittsa@michigan.gov

The designated DTMB Project Manager is:

Douglas Alcott Department of Technology Management and Budget DTMB Agency Services Chandler Building 300 E. Michigan Ave.

Lansing, MI 48933 517-335-1648 alcottd@michigan.gov

The designated DTMB Program Manager is:

Soopriya Razdan

DTMB

Agency Services Chandler Building 300 East Michigan Avenue in MI Lansing, MI 48933 517-219-2766 Fax Number Razdans@michigan.gov

The designated DTMB Contract Administrator is:

Mecca Martin Department of Technology Management and Budget (DTMB) Central Procurement Services Elliot – Larsen Building 320S Walnut Lansing, MI 48820 517-230-5694 martinm42@michigan.gov mailto:pittsa@michigan.gov mailto:alcottd@michigan.gov mailto:Razdans@michigan.gov mailto:martinm42@michigan.gov

ATTACHMENT 1: PAYMENT SCHEDULE

Payment will be made on a basis. DTMB will pay the Vendor upon receipt of properly completed invoices which shall be submitted to the billing address on the State issues purchase order not more often than monthly. All invoices should reflect actual work completed by payment date and must be approved by the Agency and DTMB Project Manager prior to payment. DTMB will coordinate obtaining approvals.

The invoices shall document to the State’s satisfaction.

• Project name

• Category of work performed (maintenance and operations, support and/or enhancements

• A description of the work performed,

• The timeframe when the work was performed,

• The purchase order number,

• An invoice number,

• The invoice date, and

• Thea amount to be paid.

Payment shall be considered timely if made by the DTMB within 45 days after receipt of properly completed invoices.

Please note that the invoice shall be sent to dtmb-accounts-payable@michigan.gov mailto:dtmb-accounts-payable@michigan.gov

Year 1

ITEM NUMBER DESCRIPTION SALES PRICE QTY TOTAL PRICE

401-S-EMRAPI EMResource Interface/API

API and Data Uploader for MI facilities to update Status Types in EMResources

$65,000.00 1 $65,000.00

700-P-SCP-2 Professional Services – Service Credit Hours (EMSuites)

Professional services hours for state-wide API/Data Uploader implementation

$250.00 300 $75,000.00

Subtotal: $140,000.00

Year 2

401-S-EMRAPI-1 EMResource Interface/API

API and Data Uploader for MI facilities to update Status Types in EMResource

$20,000.00 1 $20,000.00

Subtotal: $20,000.00

Contract Grand Total (plus applicable taxes) $160,000.00

Department of Technology, Management, and Budget

525 W. ALLEGAN ST., LANSING, MICHIGAN 48913

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 15 to

071B9200106Contract Number

Various

Mecca Martin max.wippich@juvare.com

Max Wippich

Atlanta, GA 30303

EMSYSTEMS LLC

CV0063177

414-721-9729

235 Peachtree Street , Suite 2300

517-230-5694 S

T A

T E

P ro g n a g e r

C o n tra ct

A d m in istra to r

C O

N T R A C T O

R

DTMB

martinm42@michigan.gov

$13,401,867.66

January 16, 2009 May 31, 2024

EMRESOURCE USER AGREEMENT

December 31, 2011

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

0 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

NET45

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☐ May 31, 2024

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$0.00 $13,401,867.66

Effective 2/7/2022, this contract leverages $742,688.06 of existing funds from CN 12 for Year 3. The following amendment is hereby incorporated into the contract per the attached statement of work. This change includes the generation of a new annual purchase order (PO) to allow for payment of Maintenance and Operations (M & O) costs for the period of 06/01/2021 - 5/31/2022. The DTMB Program Manager has changed to Soopriya Razdan. The DHHS Program Manager has changed to Amber L. Pitts. All other terms, conditions, specifications, and pricing remain the same. Per contractor and agency agreement, and Central Procurement approval.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

DESCRIPTION

Program Managers for

CHANGE NOTICE NO. 15 TO CONTRACT NO. 071B9200106

MICHIGAN DEPARTMENT OF TECHNOLOGY,

MANAGEMENT AND BUDGET

IT SERVICES

STATEMENT OF WORK

Project Title:

EMSystems LLC - Purchase Order Creation - Year 3 Contract: 071B9200106

Period of Coverage:

06/01/21 – 05/31/22

Requesting Department:

Department of Technology, Management and Budget (DTMB) in conjunction with Michigan Department of Health and Human Services

(DHHS)

Date:

1/26/22

Agency Program Manager:

Amber L. Pitts

Phone:

517-335-9572

DTMB Program Manager:

Soopriya Razdan

Phone:

517-219-2766

I. BACKGROUND

Contract 071B9200106 for the State of Michigan (State), Michigan Department of Health and Human Services (DHHS), Bureau of EMS, Trauma, and Preparedness (BETP), through the Michigan Department of Technology, Management & Budget (DTMB), was extended. The expiration date of the contract is 05/31/2024. This Contract was established for the functions of the Michigan Health Alert Network (MIHAN), the MI Volunteer Registry, bed/resource tracking, patient tracking, and hospital incident management services used with an internet accessible, vendor hosted service.

II. PROJECT OBJECTIVE

Generate a new annual purchase order (PO) to allow for payment of Maintenance and Operations (M & O) costs for the period of 06/01/21 – 05/31/22.

The amount of the PO shall be $742,688.06, as outlined in the Contract on pages 87 – 89, Section 1.601 Contract Pricing, Year 3.

All terms, conditions, specifications, and pricing remain as stated in the Contract.

III. SCOPE OF WORK

PO to be created for continued M & O as outlined within the Contract. This PO will cover year 3 (06/01/21 – 05/31/22) of the extended Contract.

IV. PAYMENT SCHEDULE

Payment will be made annually as stated in the Contract, page 87, Section 1.601.

V. CONTACTS

The designated DTMB Program Manager is:

Soopriya Razdan

Michigan Department of Technology, Management and Budget, Agency Services Chandler Building, 1st Floor 300 East Michigan Avenue Lansing, MI 48933 517-219-2766 RazdanS@michigan.gov

The designated Agency Program Manager is:

Amber L. Pitts, B.S., M.A.

Michigan Department of Health and Human Services PO Box 30207 Lansing, MI 48909-0207 517-335-9572 pittsa@michigan.gov

VI. LOCATION OF WHERE THE WORK IS TO BE PERFORMED

The work is to be performed, completed, and managed at the Contractor’s location(s) or the hosted/data center providers that Contractor utilizes.

mailto:RazdanS@michigan.gov mailto:pittsa@michigan.gov

Department of Technology, Management, and Budget

525 W. ALLEGAN ST., LANSING, MICHIGAN 48913

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 14 to

071B9200106Contract Number

Various

Mecca Martin max.wippich@juvare.com

Max Wippich

Atlanta, GA 30303

EMSYSTEMS LLC

CV0063177

414-721-9729

235 Peachtree Street , Suite 2300

517-230-5694 S T A T E

P ro g n a g e r

C o n tra ct

A d m in istra to r

C O

N T R A C T O

R

MDHHS

DTMB

martinm42@michigan.gov

$13,383,367.66

January 16, 2009 May 31, 2024

EMRESOURCE USER AGREEMENT

December 31, 2011

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

9 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

NET45

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☐ May 31, 2024

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$18,500.00 $13,401,867.66

Effective 9/1/2020, this contract is hereby increased by $18,500.00 and includes the following amendment per attached SOW.

This change includes generating a new annual purchase order (PO) to allow for payment of professional services costs for the creation and implementation of interface for daily data transmission of hospital data to HHS system for COVID19 response. All other terms, conditions, specifications, and pricing remain the same. Per Contractor and Agency agreement, and Central Procurement approval.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

Program Managers for

CHANGE NOTICE NO. 14 TO CONTRACT NO. 071B9200106

DTMB Kimberly Koppsch-Woods 517-241-3314 Koppsch-WoodsK@michigan.gov

MDHHS Craig Henry 517-335-8279 HenryC1@michigan.gov

EMSystems LLC - Purchase Order Creation – Professional Services – EMResource Interface for HHS for COVID Hospital Data Submission Contract: 071B9200106

Period of Coverage:

07/16/20 – 09/20/20

Requesting Department:

Department of Technology, Management and Budget (DTMB) in conjunction with Michigan Department of Health and Human Services (DHHS)

Date:

07/17/20

Agency Program Manager:

Craig Henry

Phone:

517-335-8279

DTMB Program Manager:

Kimberly Koppsch-Woods

Phone:

517-241-3314

I. BACKGROUND

Contract 071B9200106 for the State of Michigan (State), Michigan Department of Health and Human Services (DHHS), Bureau of EMS, Trauma, and Preparedness (BETP), through the Michigan Department of Technology, Management & Budget (DTMB), was extended. The expiration date of the contract is 05/31/2024. This Contract was established for the functions of the Michigan Health Alert Network (MIHAN), the MI Volunteer Registry, bed/resource tracking, patient tracking, and hospital incident management services used with an internet accessible, vendor hosted service.

II. PROJECT OBJECTIVE

Generate a new annual purchase order (PO) to allow for payment of professional services costs for the creation and implementation of interface for daily data transmission of hospital data to HHS system for COVID-19 response.

III. CONTACTS

The designated DTMB Program Manager is:

Kimberly Koppsch-Woods Michigan Department of Technology, Management and Budget, Agency Services Chandler Building, 1st Floor 300 East Michigan Avenue Lansing, MI 48933

517-241-3314 Koppsch-WoodsK@michigan.gov

Craig Henry Michigan Department of Health and Human Services 1001 Terminal Rd.

Lansing, MI 48906 517-335-8279 HenryC1@michigan.gov

IV. LOCATION OF WHERE THE WORK IS TO BE PERFORMED

The work is to be performed, completed, and managed at the Contractor’s location(s) or the hosted/data center providers that Contractor utilizes.

All professional services will be completed remotely. No line item for travel expenses is included in the pricing table and no travel expenses will be paid by the State of Michigan for these professional services.

mailto:Koppsch-WoodsK@michigan.gov mailto:HenryC1@michigan.gov

ATTACHMENT 1 B: PAYMENT SCHEDULE

Payments for on-going maintenance and support is paid annually in advance.

Item Number Description Sale Price

Qty Total Price

101-S-IEMR-1 HHS Data Interface Maint. (hospitals)

Interface for daily data transmission of hospital data to HHS system for COVID19 Response

$6,000.00 1 $6,000.00

GRAND TOTAL State of MI is a tax exempt entity $0.00 0 $6,000.00

Payments for professional services will be invoice upon completion of each milestone.

Milestone Unit (Hours) Rate Due Date Payment Amount

Project start-up 10 $250/hour 8/10/20 $2,500.00

Requirements definition 10 $250/hour 8/20/20 $2,500.00

Implementation 10 $250/hour 8/30/20 $2,500.00

Testing 10 $250/hour 9/15/20 $2,500.00

Interface Go-Live 10 $250/hour 9/30/20 $2,500.00

Total 50 $12,500.00

Total

Description Amount

Maintenance and Support

$6,000.00

Interface $12,500.00

Total $18,500.00

Department of Technology, Management, and Budget

525 W. ALLEGAN ST., LANSING, MICHIGAN 48913

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 13 to

071B9200106Contract Number

HenryC1@michigan.gov

Craig Henry

Mecca Martin max.wippich@juvare.com

Max Wippich

Atlanta, GA 30303

EMSYSTEMS LLC

CV0063177

414-721-9729

235 Peachtree Street , Suite 2300

517-230-5694 S T A T E

P ro g n a g e r

C o n tra ct

A d m in istra to r

C O

N T R A C T O

R

MDHHS

517-335-8279

DTMB

martinm42@michigan.gov

$13,383,367.66

January 16, 2009 May 31, 2024

EMRESOURCE USER AGREEMENT

December 31, 2011

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

9 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

NET45

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☐ May 31, 2024

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$0.00 $13,383,367.66

Effective 6/11/2020, this contract leverages $742,688.06 of existing funds from CN 12 for Year 2. The following amendment is hereby incorporated into the contract per the attached statement of work. This change includes the generation of a new annual purchase order (PO) to allow for payment of Maintenance and Operations (M & O) costs for the period of 06/01/2020 – 05/31/2021. All other terms, conditions, specifications and pricing remain the same. Per contractor and agency agreement, and Central Procurement approval.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

Program Managers for

CHANGE NOTICE NO. 13 TO CONTRACT NO. 071B9200106

DTMB Kimberly Koppsch-Woods 517-241-3314 Koppsch-WoodsK@michigan.gov

EMSystems LLC - Purchase Order Creation - Year 2 Contract: 071B9200106

Period of Coverage:

06/01/2020 – 05/31/2021

Requesting Department:

Department of Technology, Management and Budget (DTMB) in conjunction with Michigan Department of Health and Human Services (DHHS)

Date:

3/18/2020

Agency Program Manager:

Craig Henry

Phone:

517-335-8279

DTMB Program Manager:

Kimberly Koppsch-Woods

Phone:

517-241-3314

I. BACKGROUND

Contract 071B9200106 for the State of Michigan (State), Michigan Department of Health and Human Services (DHHS), Bureau of EMS, Trauma, and Preparedness (BETP), through the Michigan Department of Technology, Management & Budget (DTMB), was extended. The expiration date of the contract is 05/31/2024. This Contract was established for the functions of the Michigan Health Alert Network (MIHAN), the MI Volunteer Registry, bed/resource tracking, patient tracking, and hospital incident management services used with an internet accessible, vendor hosted service.

II. PROJECT OBJECTIVE

Generate a new annual purchase order (PO) to allow for payment of Maintenance and Operations (M & O) costs for the period of 06/01/2020 – 05/31/2021.

The amount of the PO shall be $742,688.06, as outlined in the Contract on pages 87 – 89, Section 1.601 Contract Pricing, Year 2.

III. SCOPE OF WORK

PO to be created for continued M & O as outlined within the Contract. This PO will cover year 2 (06/01/2020 – 05/31/2021) of the extended Contract.

IV. PAYMENT SCHEDULE

Payment will be made annually as stated in the Contract, page 87, Section 1.601.

V. CONTACTS

The designated DTMB Program Manager is:

Kimberly Koppsch-Woods Michigan Department of Technology, Management and Budget, Agency Services Chandler Building, 1st Floor 300 East Michigan Avenue Lansing, MI 48933 517-241-3314 Koppsch-WoodsK@michigan.gov

Craig Henry Michigan Department of Health and Human Services 1001 Terminal Rd.

Lansing, MI 48906 517-335-8279 HenryC1@michigan.gov

VI. LOCATION OF WHERE THE WORK IS TO BE PERFORMED

The work is to be performed, completed, and managed at the Contractor’s location(s) or the hosted/data center providers that Contractor utilizes.

mailto:Koppsch-WoodsK@michigan.gov mailto:HenryC1@michigan.gov

Department of Technology, Management, and Budget

525 W. ALLEGAN ST., LANSING, MICHIGAN 48913

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 12 to

071B9200106Contract Number

Various

Jarrod Barron max.wippich@juvare.com

Max Wippich

Atlanta, GA 30303

EMSystems, LLC

CV0063177

414-721-9729

235 Peachtree Street, Suite 2300

(517) 249-0406 S T A T E

P ro g n a g e r

C o n tra ct

A d m in istra to r

C O

N T R A C T O

R

DTMB

barronj1@michigan.gov

$5,956,487.06

January 16, 2009 May 31, 2019

EMRESOURCE USER AGREEMENT

December 31, 2011

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

4 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

NET45

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☒ 5 years May 31, 2024

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$7,426,880.60 $13,383,367.66

Effective 5/21/2019, the parties extend the contract five years, add five option years and add $7,426,880.60 to cover the potential ten year costs as negotiated. The new revised expiration date is 5/31/2024, with new option years through 5/31/2029 if the State exercises them in the future. As part of this change, the parties have negotiated new terms, conditions, specifications, and pricing. The State Contract Administrator is changed to Jarrod Barron. The State Program Managers shall be Kimberly Koppsch-Woods (DTMB) and Craig Henry (DHHS), whose contact information appears on the next page of this Contract Change Notice. Contractor Program Manager shall be Max Wippich. Per Contractor, Agency, DTMB Procurement and State Administrative Board approval on 5/21/2019.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

Program Managers for

CHANGE NOTICE NO. 12 TO CONTRACT NO. 071B9200106

DTMB Kimberly Koppsch-Woods 517-241-3314 Koppsch- WoodsK@michigan.gov

This Software as a Service Contract (this “Contract”) is agreed to between the State of Michigan (the “State”) and EMSystems LLC (“Contractor”). This Contract is effective on June 1, 2019 (“Effective Date”), and unless earlier terminated, will expire on May 31, 2024 (the “Term”).

This Contract may be renewed for up to five years (each 12-month period therein being a “Renewal Period”). Renewal must be by written notice from the State and will automatically extend the Term of this Contract.

1. Definitions. Unless otherwise specifically stated in this Contract, the capitalized terms used in this

Contract shall have the meanings set forth below:

“Accept” has the meaning set forth in Section 4.2b).

“Acceptance” has the meaning set forth in Section 4.2b).

“Acceptance Testing Period” has the meaning set forth in Section 4.2(b).

“Action” has the meaning set forth in Section 13.1.

Affiliate” means any entity which directly or indirectly controls, is controlled by or is under common control of Contractor. The term “control” means the possession of the power to direct or cause the direction of the management and the policies of an entity, whether through the ownership of a majority of the outstanding voting rights or by contract or otherwise.

“Allegedly…